| NPI | 1629855051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLYCE KATIE JONES Psychiatric Mental Health Nurse Pra 801-893-9564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |